CoolTan Arts believes mental well being is enhanced by the power of creativity
Please complete the form below in BLOCK CAPITALS
Please return to: Third Floor, 224-234 Walworth Road, London SE17 1JE
Telephone and Fax: 020 7701 2696
Registered Charity no 1064231
Email: [email protected] Website: www.cooltanarts.org.uk
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DONATION FORM
Name: _______________________________________________________
Address: ____________________________________________________
________________________________Postcode: __________________________
Telephone: __________________________________________________
Email: _______________________________________________________
I would like to make a donation of £5 £10 £15 £20 £30 £40 £50 other: _____
If you are a UK taxpayer we can reclaim 25p from the Government for every £1
you give*
□Please treat the enclosed gift of £
as a Gift Aid donation. I confirm I have paid or will
pay an amount of Income Tax and/or Capital Gains Tax for the current tax year (6 April to 5
April) that is at least equal to the amount of tax that all the charities/CASCs that I donate to
will reclaim on my gifts for the current tax year. I understand that other taxes such as VAT or
Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I
have given.
Signature: ________________________________Date: _______________
To make us a one off donation, please choose one of the following methods
□ I enclose a Charities Aid Foundation Voucher
□ I enclose a cheque payable to CoolTan Arts
towards CoolTan Arts
CoolTan arts would like to keep you up to date with news, events and fundraising activities.
We will not pass your details onto any other organisation or third party.
If you would prefer not to receive this information please tick the box
____________________________________Postcode: ______________________
Telephone: __________________________________________________
Email: _______________________________________________________
MAKE A ONE OFF DONATION
Please complete the form below in BLOCK CAPITALS
Please accept my donation of £
Name: _______________________________________________________
Address: ____________________________________________________
□
BANKERS ORDER
To the Manager:
Bank/Building Society Name______________________________________
Bank/Building Society Address ____________________________________
________________________________ Postcode ____________________
Bank/Building Society Account Number _____________________________
Branch Sort Code ______________________________________________
Account name _________________________________________________
I would like to make a donation of £5 £10 £15 £20 £30 £40 £50 or other:___
monthly / quarterly / annually commencing on ___/___/____to CoolTan Arts.
Account Name: CoolTan Arts
Bank / Building Society: Co-operative Bank
Account Number: 65184071
Branch Sort Code: 08-92-99
Signature: ________________________________Date: _______________
If you are a UK taxpayer we can reclaim 25p from the Government for every £1
you give*
□Please treat the enclosed gift of £
as a Gift Aid donation. I confirm I have paid or will
pay an amount of Income Tax and/or Capital Gains Tax for the current tax year (6 April to 5
April) that is at least equal to the amount of tax that all the charities/CASCs that I donate to
will reclaim on my gifts for the current tax year. I understand that other taxes such as VAT or
Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I
have given.
Signature: ________________________________Date: _______________
Thank you for you support!
MAKE A REGULAR DONATION VIA A STANDING ORDER MANDATE
More information on CoolTan Arts is available on the website www.cooltanarts.org.uk or
alternatively contact us by phone on 020 7701 2696. We are proud to have as patrons Maggi
Hambling, Ali Smith, Arthur Smith, Clare Allan and Rosemary Shrager.